Name *

First Name

Last Name

Phone *

This is necessary for SimplePractice registration and will be used to send appointment reminders. I will never use your phone number or email for spam.

(###)

###

####

Registration *

I am ready to register and would like to be added.

I have questions but I am interested (Please add question below.)

The group I want to participate in is full but I'd like to be added to the waitlist.

Select Dates to Register For

January 3

February 14

March 14

April 11

May 9

June 6

July 11

August 1

September 12

October 10

November 7

December 5

I understand this group runs from 2pm-3pm CST - I have made sure this works with my time zone. I also understand this group costs $100/group and Amanda has a 48 hour cancellation policy. Should I fail to cancel within 48 hours I understand my card on file will be charged. *

Yes I understand.

Name *

First Name

Last Name

Phone *

This is necessary for SimplePractice registration and will be used to send appointment reminders. I will never use your phone number or email for spam.

(###)

###

####

Registration *

I am ready to register and would like to be added.

I have questions but I am interested (please add question below)

The group is full but I'd like to be added to your mailing list for future groups!

Select Dates to Register For

January 3

February 14

March 14

April 11

May 9

June 6

July 11

August 1

September 12

October 10

November 7

December 5

I understand this group runs from 1pm-2pm CST - I have made sure this works with my time zone. I also understand this group costs $100/group and Amanda has a 48 hour cancellation policy. Should I fail to cancel within 48 hours I understand my card on file will be charged. *

I understand.